LORA MEADOWS – Family Nurse Practitioner, NPI 1205614211

Family Nurse Practitioner

LORA MEADOWS is a healthcare provider. based in Elk river, Minnesota. specializing in NURSE PRACTITIONER. They hold a License No. 10776 (MN). The NPI Number for LORA MEADOWS is 1205614211

Main info

Female

3 Years Of Experience

Accepts Medicare Assignment

Name

LORA MEADOWS

NPI

1205614211

Phone

(184) 325-0058

Address

19846 TYLER ST NW

Enumeration Date

20 September 2023

Last Update Date

20 September 2023

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8663892727

Graduation Year

2023 (3 years ago)

PAC ID

5092162891

Group Practice PAC ID

7810289949

Professional Enrollment ID

I20231116001623

Address ID

MN554462308PL4140X101X400

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience28

Completeness75

Years active:2State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for LORA MEADOWS

19846 TYLER ST NW
ELK RIVER, MN 553302241
Phone: (184) 325-0058
Type: Mailing
4140 COUNTY ROAD 101 N
PLYMOUTH, MN 554462308
Phone: (763) 478-4612
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-11-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20231116001623	I	Nurse Practitioner	MN	TBD

What to do next

No action required while the due date shows TBD.
Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55330)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 7810289949View full group profile

Name	Specialty	State
DIANE ELIZABETH HELLER	-	MN
MS. KRISTEN D BALLENTHIN (PA-C)	Physician Assistant	MN
BROOKE SCHROEPFER	Physician Assistant	MN
AMANDA JOANNE SCHMIDT (PA-C)	Physician Assistant	MN
RHONDA MARIE WOLFE (MSN)	-	MN
CRYSTAL ADODO ORAMADIKE (FNP)	Nurse Practitioner	PA
RYAN MCCAULEY RIVARD	Physician Assistant	MN
CHRISTY BERRYHILL (FNP)	-	MN
KRISTIE J ANDERSON (FNP)	-	MN
PAULA FORTIN (FNP-C)	-	MN

Reviews

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Frequently asked questions

What number should I use to identify LORA MEADOWS for billing?

Administrative and clinical systems typically use NPI 1205614211 for LORA MEADOWS.

Is LORA MEADOWS currently accepting referrals based on NPI status?

Registry metadata lists LORA MEADOWS as active.

What does the directory say LORA MEADOWS does?

Insurance directories may phrase it differently, but here LORA MEADOWS maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.

What city is tied to LORA MEADOWS?

The directory associates LORA MEADOWS with Elk River, Minnesota. Check all listed addresses for suites or satellite offices.

Can I export LORA MEADOWS's record?

You can download the official NPPES record; we summarize key fields for readability.